PROSPECTUS. Ophthalmic Technician Training Course

Transcription

1 PROSPECTUS Ophthalmic Technician Training Course Ophthalmic Nursing BSc (Hons) Vision Sciences Optometry/ Orthoptics/ Investigative Ophthalmic Technology Master in Community Eye Health (MCEH) Fellowship in Pediatric Ophthalmology Fellowship in Vitreo Retina M Phil leading to PhD (Vision Sciences) 1

2 THE QUAID S MESSAGE TO STUDENTS The Duties Required Of Youth Are To Develop a Sound Sense Of Discipline, Character, Initiative And Solid Academic Background THE QUAID S MESSAGE Pakistan is proud of her youth, particularly the students who are nation builders of tomorrow. The duties required of youth are to develop a sound sense of discipline, character, initiative and a solid academic background. You must devote yourself whole heartedly to your studies, for that is your first obligation to yourselves, your parents and to the state. You must learn to obey for only then you can learn to command. Speech at Islamia College, Peshawar (12 th April, 1948) 2

3 B. TABLE OF CONTENTS A. The Quaid s Message To Students 2 B. Table of Contents 3 C. Our Vision 4 D. Our Mission 4 E. Our Philosophy 4 F. Message from the Principal/Director General 5 G. Brief History of COAVS 6 H. Accreditations 7 I. Organogram of COAVS 8 J. Courses offered at COAVS 9 K. Faculty 10 L. Facilities Available 10 M. Academic Programs 11 a) Diploma Courses 12 i. Ophthalmic Technician 12 ii. Ophthalmic Nursing Diploma 14 b) Graduate Courses 21 BSc (Hons). Vision Sciences 21 i. Optometry ii. Orthoptics iii. Investigative Ophthalmic Technology c) M Phil Level Program 30 i. Masters in Community Eye Health (MCEH) d) Sub Specialty Development Program 34 i. Fellowship in Pediatric Ophthalmology 34 ii. Fellowship in Vitreo Retina. 36 e) M Phil Leading to PhD. (Vision Sciences) 39 i. Optometry 53 ii. Orthoptics 62 iii. Investigative Ophthalmic Technology 67 N. Extra-Curricular Activities 73 O. Discipline 73 P. Fee 73 3

4 Q. Hostel 73 R. Contact 73 S. Under Taking 74 C. OUR VISION Eradication of all forms of blindness in Pakistan (From province of Punjab in particular) D. OUR MISSION COAVS shall lead from front in its Endeavour to contribute towards achieving Millennium Development Goals and working according to principles laid down in the VISION Right to sight for the elimination of all forms of avoidable blindness from Punjab & ultimately Pakistan E. OUR PHILOSOPHY We at college of Ophthalmology and allied vision sciences believe that: College of Ophthalmology and Allied Vision sciences, dedicated to excellence, make s every effort to ensure provision of quality eye care to patient in Pakistan. We are committed to develop strategies for competent, holistic, safe, cost effective, preventive and curative eye care for an individual, family and community. Continuous education is essential for competence of staff, professional growth and development, both personal and organizational. Research should be fast to the extent possible and with acceptable guidelines for protection of human subject. We have responsibility to provide appropriate learning experience and to be role model for all students in various specialized discipline of eye health. 4

5 F. MESSAGE FROM PRINCIPAL/DIRECTOR GENERAL Prof. Dr. Asad Aslam Khan (Sitara-e-Imtiaz) Principal /Director General, COAVS It is my pleasure to welcome you all to the College of Ophthalmology & Allied Vision Sciences (COAVS), King Edward Medical University / Mayo Hospital, Lahore, Pakistan, one of the most renowned institutions imparting ophthalmic education in Pakistan. COAVS made its modest start in a single room in May 1999 as comprehensive eye care cell (CEC Cell). In 2004 it was raised to the status of Punjab Institute of Preventive Ophthalmology (PIPO). With the addition of Post Graduate and Sub Specialty classes in 2007 re-designated as College of Ophthalmology and Allied Vision Sciences (COAVS). The Objective of COAVS is elimination of all forms of avoidable blindness from Punjab & ultimately Pakistan and to achieve the goals of Vision 2020 The Right to Sight.. COAVS is struggling to achieve these targets through Humane Resource Development (HRD), District Comprehensive Eye Care Program (DCECP), disease control projects and awareness campaigns. COAVS works on the guidelines given by the National Committee for Eye Health (NCEH) and makes strategies for up gradation and provision of quality but affordable Eye health services to the poor at their door steps. 5

6 COAVS is attached with King Edward Medical University and Mayo Hospitals Lahore and the courses are approved by Pakistan Medical & Dental Council, King Edwards Medical University, Pakistan Nursing College Council and Punjab Medical faculty. G. BRIEF HISTORY OF COAVS College of Ophthalmology and Allied Vision Sciences, (COAVS) starting its journey in a single room as Comprehensive Eye Care Cell (CEC Cell) at Mayo Hospital Lahore in 1999, has rapidly evolved into the most renowned and well-recognized teaching centers in the country, imparting education in the fields of Ophthalmology & Vision Sciences. It is attached with King Edward Medical University & Mayo Hospital. Up to December 1998 no step was ever taken to improve the ophthalmic services at district level. In December 1998, Prof Asad Aslam Khan in collaboration with Fred Hollows Foundation conducted a detailed situational analysis of ophthalmic services available at district level in Punjab. The analysis revealed that the number of ophthalmologists was much less than the required number and no trained ophthalmic paramedic or ophthalmic nurse was available at district level. There was no sub-specialty unit e.g. vitreo retina or pediatric ophthalmology even in any of the teaching hospital. In many districts the ophthalmologists were not trained for microsurgery and intraocular lens implantation & the surgical rate in some of the districts was as low as 100 per year. In response to the report of the situation analysis, with the intention to improve eye health services in the province, the Punjab health department established a comprehensive eye care cell (CEC Cell) at Mayo Hospital. The CEC cell accomplished various projects for Prevention of Blindness. In 2004, Government of the Punjab with the addition of teaching faculty for mid level eye care workers, upgraded it to Punjab Institute of Preventive Ophthalmology (PIPO) to eradicate preventable blindness from the country, particularly from the province of Punjab, and to achieve the goals of Vision 2020 The Right to Sight. This institute was commissioned in a record period of six months. The total cost of the project was Rs million, of which Government of the Punjab contributed Rs million for the construction, whereas the remaining amount was provided by International NGO s, WHO and Philanthropists in the form of equipment, furniture and vehicles. Observing the tremendous success & achievements of Punjab Institute of Preventive Ophthalmology (PIPO) & in view to start postgraduate & subspecialty courses in Ophthalmology & Vision Sciences, Government of the Punjab, in 2007, elevated PIPO to College of Ophthalmology & Allied Vision Sciences (COAVS), The objectives was to eradicate preventable blindness from the country and to achieve the goals of Vision 2020 The Right to Sight. 6

7 These targets are to be achieved through: 1. Human Resource Development 2. District Comprehensive Eye Care Programs 3. Disease Control Projects / Programs 4. Continuous Medical Education in Ophthalmology & Allied Vision Sciences 5. Awareness Campaigns The basic aims and objectives however, have not changed; rather the scope of functioning of the college has broadened with the starting of new courses & launching of new projects Major partners of the college are INGOs e.g. Sight savers UK, Aus-Aid, Fred Hollows Foundation Australia, Irish Aid, & Christoffelblinden Mission (CBM) Germany / CHEF International. In addition Government of Pakistan, Government of the Punjab, World Health Organization (WHO), corporate partners like Standard Chartered Bank and individual Philanthropists have also contributed considerably. H. ACCREDITATIONS The College of Ophthalmology and Allied Vision Sciences over the period of five years has been accredited by the following bodies for its relevant courses, 1. Pakistan Medical and Dental Council (PM&DC) 2. King Edward Medical University, Lahore (KEMU) 3. College of Physician and Surgeons Pakistan (CPSP) 4. Pakistan Nursing Council 5. Punjab Medical Faculty 7

8 ORGANOGRAM OF COAVS h SUPPORT STAFF PA/PS Stenographer Naib Qasid PRINCIPAL / DIRECTOR GENERAL MISCELLANEOUS DEPARTMENTS. 1) Finance Department 2) Microbiology 3) Pharmacy 4) IOL / Corneal Bank 5) Optical Lab 6) Wet Lab (Inst Asst. / Wet lab Asst.) ADMIN / ESTABLISHMENT DCECP ACADEMICS DIRECTOR ADMIN DIRECTOR DCECP DIRECTOR ACADEMICS / ASSOCIATE DIRECTOR RESEARCH ACCOMMODATION SUPERVISOR COAVS / INGO S SUPPORT STAFF. PROGRAMME OFFICERS / SOCIOLOGISTS / P.H. EDUCATIONIST SENIOR FACULTY AP s Speci li t Research Officers Statistician SUPPORT STAFF IT Dept. Stores Telephone Transport Maintenance / Repair Grade-IV COURSE COORDINATOR S / COURSE INCHARGE FACULTY Medical Officer Optometrist Orthoptists Ophth. Technologist Refractionist Opticians Low Vision Councilor 8

9 J. COURSES OFFERED AT COAVS Sr.# Course Name Duration Eligibility Accredited by Important dates 1 Ophthalmic Technician 2 Ophthalmic Nursing BSc (Hons) Vision Sciences I. (Optometry II. III. Orthoptics Investigative Ophthalmic Masters in Community Eye Health (MCEH) Fellowship in Pediatric Ophthalmology 6 Fellowship in Vitreo Retina 7 M Phil Leading to PhD I. Optometry II. III. Orthoptics Investigative Ophthalmic One Year One Year Four Year Two Year Two Year Two Year Five Years FSc (Pre Med) or Matric with Science Four year Nursing Diploma FSc (Pre Medical) MBBS With One year House Job MS/ FCPS/FRCS or equivalent MS/ FCPS/FRCS or equivalent BSc (Hons) in respective subject Punjab Medical Faculty Post Graduate College of Nursing King Edward Medical University King Edward Medical University King Edward Medical University King Edward Medical University & CPSP King Edward Medical University Course are advertised in Mid October Admission completed mid December Classes start in first week of January Course are advertised in mid October Admission completed mid December Classes start in first week of January Course are advertised in mid October Admission completed mid December Classes start in first week of January Course are advertised in Mid October Admission completed mid December Classes start in first week of January Course are advertised in Mid October Admission completed mid December Classes start in first week of January Course are advertised in Mid October Admission completed mid December Classes start in first week of January Course are advertised in Mid October Admission completed mid December Classes start in first week of January 9

10 K. FACULTY The faculty of the College consists of experienced staff well versed in Clinical as well as Preventive Ophthalmology. The Eye Unit III of Mayo Hospital Lahore / King Edward Medical University is attached with COAVS. The staff of Eye Unit III works in COAVS & vice versa. The faculty comprises of; 1. Professor of Ophthalmology Unit III, King Edward Medical University Lahore, who is ex officio Principal/ Director General of COAVS 2. Associate Professor Preventive Ophthalmology 3. Assistant Professor Preventive Ophthalmology 4. Assistant Professor Investigative Oculist 5. Assistant Professor Pediatric Ophthalmology 6. Assistant Professor Vitreo-Retina 7. All the teaching & non-teaching staff of Eye Unit III attached with COAVS 8. Community Ophthalmologists 9. Nursing Instructors 10. Optometrists 11. Orthopist 12. Investigative Oculist/Investigative Ophthalmic Technologist 13. Epidemiologist 14. Visiting National/ International Faculty 15. Visiting Low Vision Advisor L. FACILITIES AVAILABLE Eye Unit-III, Institute of Ophthalmology Mayo Hospital Lahore is attached to COAVS for the purpose of training as clinical facility The following facilities for the training in different disciplines of Ophthalmology program have been developed at COAVS and Institute of Ophthalmology 1. Diagnostic Department a. A & B Scan b. OCT c. FFA d. ERG e. HRT f. Visual Fields g. Pachymeter h. Spectroscopy 10

11 2. Pediatric Ophthalmology Department Out Patient Department a. Two fully equipped Consultation Rooms b. Orthoptics Room ( Another Orthoptics Room is also being Equipped ) c. Pediatric Refraction Room d. Children playing area Well equipped exclusive Pediatric Operation Theater 3. Vitreo Retina Department Out Patient Department a. Two well equipped Consultation Rooms b. Diabetic Retinopathy Screening Clinic Well equipped exclusive Vitreo Retina Operation Theater 4. Laser Training Center 5. Wet Lab 6. Glaucoma Clinic 7. Cornea Bank 8. Computer Lab 9. Learning Resource Center Having latest print, audio visual system in library with internet and Photostat facility 10. Refraction Skill Laboratory 11. Air Conditioned Class Rooms with Multimedia Separate class rooms for OTTC, Ophthalmic Nursing, B.Sc. (Hons) Vision Sciences, MCEH and Fellowship Programs. 12. Auditorium 13. Conference Room 14. Research Center 15. Optical Laboratory M. ACADEMIC PROGRAMS a) Diploma Courses b) Degree Courses c) M Phil Level Program d) Subspecialty Development Programs e) M Phil Leading to PhD. 11

12 a) DIPLOMA COURSES i) OPHTHALMIC TECHNICIAN TRAINING COURSE Ophthalmic Technician-Training Course of one-year duration, started in the tenure of the CEC Cell in 2001 & is continuing at COAVS. The diploma for this course is awarded by The Punjab Medical Faculty. SEATS DISTRIBUTION Ophthalmic Technician Training Course (OTTC) Open Merit 30 Sind 02 Baluchistan 04 Khyber Pakhtoonkhwa & FATA 02 Azad J & Kashmir 02 Gilgit Baltistan 02 Foreign Students 04 Total 46 Foreign students will apply through Economics Affairs Division (EAD) of the Federal Government. OBJECTIVES The Ophthalmic Technician should be able to:- Recognize and manage most of the common diseases. (Group A Diseases) Recognize and initiate treatment for some of the diseases and refer them to an Ophthalmologist (Group B Diseases) Execute follow up eye care to patients with acute and chronic eye diseases.(as advised by the Ophthalmologist) (Group A Diseases) Give first level management to ocular emergencies. (Group C Diseases) 12

13 CURRICULUM PHASE I The principle objective of this part is to give the student a basic understanding of the form and the way the eye functions as a unit. Phase II All topics covered in Phase I will continue in Phase II with more emphasis on; Examination of the patients. Recognize and initiate treatment for some of the diseases and refer them to an Ophthalmologist (Group B Diseases) Execute follow up eye care to patients with acute and chronic eye diseases as advised by Ophthalmologist. (Group A Diseases) Give first level management to ocular emergencies (Group C Diseases) ANATOMY AND PHYSIOLOGY OF THE EYE (27 HRS) Objectives Hrs Teaching / Learning Strategies Evaluation Anatomy of Human Eye 1 hr Lectures, Slides. Models. Quiz Adnexa: To know about the structure of Eye Lid 2 hrs Lecture, Discussion, Slides, Models & Practical. Demonstrations. Quiz Lachrymal System 1 hr Lectures, Slides. Models. Quiz Orbit 1 hr Lectures, Slides. Models. Quiz Eye Ball 19 hrs Lectures. Slides. Models. Quiz Contents of Eye Ball 3hrs Lectures. Slides. Models. Quiz OCULAR EXAMINATION TECHNIQUES AND DIAGNOSTIC TESTS (40 HRS) Objectives Hrs Teaching / Learning Strategies Evaluation I. Learn to take an accurate and concise history from patient II I. Ocular L t Examination h kvi Techniques l A it II. Diagnostic Tests 10 hrs 5 hrs Lectures, Slides, Video film. Demonstration on indoor & OPD Lectures, Slides, Video film. Demonstration on indoor & OPD Should be able to do Ophthalmoscopy 2hrs Doing the procedure on patients. I. Would be able to check intraocular pressure II U d di d fi ld i 5 hrs Checking intraocular pressure repeatedly Doing it on patient Practically on patients. Practically on patients. Practically on patients. Quiz 13

14 I. To know anterior segment photography and fundus photography 5 hrs II. Maintenance and operation of Slit lamp laser and ERG Machine DISEASES AND DISORDERS OF THE EYE Medical Ophthalmology Group A Diseases and Disorders Lectures, Slides, Video film. Demonstration on patients in & out patients. Practically on patients. Ophthalmic Nursing Ocular Pharmacology (40 Hrs) (16 Hrs) Besides these topics the student will also be taught. Communication Skill Patients Psychology Community Eye Health Basic Epidemiology and Statistics Record Keeping (12 Hrs) (10 Hrs) (42 Hrs) (12 Hrs) (12 Hrs) EXAMINATION AFTER ONE YEAR BY THE PUNJAB MEDICAL FACULTY THEORY PAPER A (SHORT ESSAY QUESTIONS) 100 THEORY PAPER B (MCQS) 100 INTERNAL ASSESSMENT 100 VIVA 100 TOTAL MARKS 400 ii) DIPLOMA IN OPHTHALMIC NURSING College of Ophthalmology and Allied Vision Sciences has launched one year Diploma in Ophthalmic Nursing to improve the Eye Health Care. After the successful completion of this course, the future Ophthalmic Nurses is expected to attain enough knowledge and technical skill to perform their desired function, so as to work along with the Ophthalmologist in a team. INSTRUCTIONAL OBJECTIVES OF THE PROGRAM The Educational Program will be aimed to produce a driven professional and a good human being, and it will develop general and subject specified competencies. 14

15 GENERAL COMPETENCIES: Ideology and Faith, respectful and sympathetic, good morals and honest, team worker, well oriented, having spoken and written Communication Skills, Computers and Information Technology. SUBJECT SPECIFIED COMPETENCIES: Educational objectives (attainments) are arranged in all three domains of learning, i.e., Cognitive Domain (Knowledge), Psychomotor Domain (Technical Skills), and Attitudes. These attainments are stated in all modules of learning in a way that their attainment level could be measured in terms of assessments. LEARNING STRATEGIES i) Student centered in small groups ii) Problem Based Learning iii) Task Based Learning iv) Systematic Training. ACADEMIC BLOCKS Two semesters in one year, each semester of 20 weeks First semester (50% of total time) comprises mainly of theory classes Second semester consists of practical training ADMISSION CRITERIA 4-year Diploma in General nursing registered with Pakistan Nursing Council. Experience of at least three years after nursing diploma as charge nurse in a recognized Hospital Foreign students will apply through Economics Affairs Division (EAD) of the Federal Government. SEAT DISTRIBUTION OF OPHTHALMIC NURSING Open Merit 10 Sind 2 Baluchistan 4 Khyber Pakhtoonkhwa & FATA 2 Azad J & Kashmir 2 Gilgit Baltistan 4 15

16 Foreigners 4 Total 28 COURSE CURRICULUM First Semester MODULE I A I A.1 I A.2 I A.3 I A.4 I A.5 I A.6 II A II A.1 II A.2 II A.3 II A.4 II A.5 II A.6 II A.7 II A.8 II A.9 TITLE Foundation Course Nursing theory & practice Biological sciences (Ophthalmology related) Communication skills Teaching skills Ethical Issues Research TITLE Nursing theory & practice Biological Sciences Disordered physiology Ophthalmic Microbiology Ophthalmic Pharmacology Communication skills Health Education Teaching skills Ethical issues Research MODULE I 1. Nursing Theory & Practice a) Causes Organisms Environment b) Pharmacology Theories & Models of Nursing; Introduction & definitions Concept of Models Types Application c) Developments in Nursing: 16

17 Individual Patient Care Primary Nursing Accountability d) Pakistan Nursing Council & Examination Board proposals & roles: Health service structure reports Implications for practice e) Health Education Concept of Health: Definitions Role of the Nurse Philosophies Resources Cultures 2. Biological Sciences a) Physiology: Structure & Function of the eye Normal Function 3. Microbiology a) Control of Infection 4. Pharmacology a) Legislation Local/ National b) Ordering, Storing & Administering Drugs c) Patient s Rights Consent/ Choice 5. Communications Skills a) How individuals communicate b) Verbal/ Non-Verbal Communication c) Communication with patients who are anxious 6. Teaching Skills a) How individuals learn b) Teaching and learning strategies c) Setting aims d) Feedback 7. Ethical Issues a) Ethics Moral Philosophy/ Definition b) Values & Judgments c) Issue of Right & Wrong d) Society Profession, Culture, Religion, Self etc. 8. Research a) Definitions Scientific Observational Historical Descriptive 17

18 Quantitative Qualitative b) Importance to Nursing Education & Practice c) The steps in the Research Process/ Methodology d) Literature search after choosing topic or area. MODULE II 1. Nursing Theory & Practice a. The role of Ophthalmic Nurse b. Individual Patient Care c. Assessment Skills Problem Solving, Care. d. The Law and the Nurse Accountability e. Professional Development Personal Responsibility f. Policies and Procedures 2. Biological sciences disordered physiology a. The Theory of Sight; Visual Acuity; Adult/Child b. Types of Vision (Central, Distance, Near, Color, Peripheral) c. Ocular Muscles d. Refractive errors & their correction e. Presbyiopia, astigmatism, strabismus, lacrimal sac washout. f. Removal of sutures cornea conjunctiva g. Retinal functions & disorders h. Laser, ultrasound, tonometry, fluorescence angiography. i. Injuries to eye j. Conjunctivitis k. Ophthalmia neonatorum l. Trachoma m. Corneal ulcer n. Glaucoma 3. Microbiology a. Departmental environment b. Asepsis role infection control nurse. c. Hand washing; gloves/equipment 4. Pharmacology a. Drugs used in OPD & minor operations. b. Dosage adult/child reaction interaction side effects. c. Nurse s role. 5. Communication Skills a. Perception problems of disordered sight, temporary/ permanent. 18

19 b. Importance of touch/ sound c. Handling anxious/ aggressive patient. d. Stress in patients/ staff. e. Courtesy & empathy with patients and relatives. 6. Community Based Ophthalmic Nursing a. Conducting community surveys b. Handling of epidemics of ophthalmic diseases 7. Health Education a. Environmental dangers b. Eye care progressive diseases e.g. diabetic retinopathy, cataracts. c. Regular screening resources. d. Role of the nurse ethnic minorities, the elderly, the disadvantaged. 8. Teaching Skills a. Teaching patients/ clients/ relatives about drug administration, healthy practices. b. Instillation of eye drops. c. Strategies, reinforcement, evaluation. 9. Ethical Issues a. Patients /relatives rights. b. Staffing levels/ supervision c. Blood tests transplants 10. Research a. Areas appropriate to nursing research e.g. waiting time, information giving, patients / relatives privacy, nursing care. SECOND SEMESTER Clinical work COURSE CURRICULUM FOR THE SECOND SEMESTER (Clinical Training/ Internship) MODULE III At the end of Module III, the nurse will have an increased knowledge and understanding of management of the ophthalmic ward/ operation Theatre/ OPD. Objectives The course member will be able to: 1. Discuss the holistic approach to individual patient care and assess the specific indication of physical and psychological response. 2. Discuss the methods of teaching suitable for patients/ relatives. 3. Demonstrate the management of the ward (under supervision) in relation to: 19

20 a. Quality of ophthalmic nurse, - Duty off, Communications skills & difficulties b. Interpersonal relationships, Decision making 4. Discuss the disordered physiology of: Lids & lacrimal system, Uveal tract, Conjunctivitis, Optic nerve pathway, Glaucoma and Vascular diseases of the eye 5. Discuss the aseptic technique 6. Discuss the drugs used in ophthalmic disorders: Dosage & administration, action, side effect and drug interaction. 7. Have better knowledge of systemic drugs used in ophthalmic patients a. Management of a diabetic/ hypertensive/ asthmatic etc patient. GENERAL RULES & REGULATIONS FOR ASSESSMENTS Each semester will end up in semester assessment, conducted by the course in charge. The Nursing college will conduct final examination on successful completion of two Semesters Minimum of 50% marks will be required to pass the examination. A candidate has to pass in written & viva voce individually to qualify for passing. At successful completion of first semester the candidate will move to the 2 nd semester. The students will be allowed to take only one semester at a time Candidates who fail in both semesters will not be allowed to appear in the final examination. CALENDAR OF ASSESSMENTS OF EACH SEMESTER Semester Assessment Type Contents Semester Marks I Theory Paper I Theory Paper II 1. Basic Med. Sciences 2. Nursing Theory & practice II Paper-I 1. Basic Skills 50 Marks Paper-2 (%) 2. Basic Skills of the Grades field Grade Points D 1 MARKS, GRADES & GRADE POINTS 20

21 60-64 C C B B A A+ 4 21

22 b) GRADUATE COURSES BSc. (Hons) Vision Sciences (Optometry) BSc. (Hons) Vision Sciences (Orthoptics) BSc. (Hons) Vision Sciences (Investigative Ophthalmic Technology) These programs cover all the aspects of the Vision Sciences over a period of 4 years. First year is dedicated to teaching Basic Medical & Biomedical Sciences while second year will be reserved for Basic Ophthalmic Sciences. Third year is reserved for Applied Ophthalmic Sciences/ Refraction. In the fourth year the candidates on merit have the chance to opt for Optometry, Orthoptics, or Investigative Ophthalmic Technology. STATUTES (FRAMEWORK) These graduates in Vision & Allied Health Sciences, being different from Medical Graduates, will not be allowed to practice art of medicine independently in a way to prescribe treatment or perform any surgical procedure. However, at the end of successful completion of these Programs, they are expected to attain enough knowledge and technical skills to perform their desired function so as to assist the Ophthalmologist e.g. the optometrist can prescribe glasses & contact lens, Orthopist can diagnose cases with squint& suggest treatment whereas Investigative Oculist can assist in various diagnostic ophthalmic procedures such as Fundus photography, Ultrasound, ERG, OCT etc. TITLE OF THE QUALIFICATIONS B.SC. (HONS) VISION SCIENCES i) Optometry ii) Orthoptics iii) Investigative Ophthalmic Technology DURATION Duration of course will be four (4) years. ADMISSION CRITERIA FSc. (Pre-medical) / Equal qualification Age 18 to 23 years 22

23 Foreign students will apply through Economics Affairs Division (EAD) of the Federal Government. SEAT DISTRIBUTION OF Bsc (HONS) VISION SCIENCES Open Merit (Punjab) 32 Sind 04 Baluchistan 08 Khyber Pakhtoonkhwa 04 Azad Jammu & Kashmir 04 Gilgit & Baltistan 08 Foreigners 08 Total 68 ACADEMIC CALENDAR Total Duration : 4 Academic Year 1 st two years (Phase I) : 4 Semesters Each Semester : 20 weeks During Phase I: - Theoretical Learning 60% & Practical Learning 40% 3 rd & 4 th year (Phase II) : Annual Examination Academic Year Duration : 46 weeks Instructions (Lectures) : 20% Time Seminars (Discussions) : 10% Time Practical Training (Hospital/Labs) : 60% Supervised Self Learning : 10% PROGRAM OUTLINE Phases of Studies in Basic Curriculum Basic Sciences & Pre-Clinical: 03 Years Major specialty: 01 Years 23

24 Type of Subjects Theory Practical / Skills All Basic Sciences 40% 60% Medical Instrumentation 15% 85% English and Islamic Studies & Pak Studies 100% Total 40% 60% YEARLY PROGRAM SCHEDULE FIRST SEMESTER Teaching 18 weeks (January 1 st June 15 th ) Review and Evaluation 02 weeks Total 20 weeks Summer Recess (June 16 th July 15 th ) SECOND SEMESTER Teaching 18 weeks (July 16 st December 20 th ) Review and Evaluation 02 weeks Total 20 weeks Winter Recess (December 21 st December 31 st ) INSTRUCTIONAL CONTENTS OF THEORY & PRACTICAL LEARNING YEAR I SEMESTER I Phase Curriculum of Semester I Modules Weeks Anatomy M Physiology M Biochemistry M Pharmacology & Toxicology M Pathology M Public & Preventive Health M Forensic Medicine M Principles of Medicine M Principles of Surgery M

25 Behavioral Sciences & Ethics M Computer Literacy M English M Total 18 Instructional Contents of Theory & Practical Learning YEAR I SEMESTER II Phase Curriculum of Semester II Modules Weeks Biostatistics, Epidemiology & Research M Physics M Materials & Biomaterials M Principles of Mechanics M Phase I Computer Controls, Information Technology, & Automation M Biotechnology M Principles of Civil Engineering M History / Pakistan Studies M Islamiat / Ethics M Total 18 INSTRUCTIONAL CONTENTS OF THEORY & PRACTICAL LEARNING YEAR II SEMESTER III Phase Curriculum of Semester III Modules Weeks Phase I Ocular Anatomy M Ocular Physiology M Ocular Pharmacology M Ocular Pathology M Epidemiology M

26 Communication Skills M Basic Clinical Functions & Skills M Ophthalmic Nursing M Total 18 Instructional Contents of Theory and Practical Learning YEAR II SEMESTER IV Phase Curriculum of Semester IV Modules Weeks Basic Optics & Refraction M Geometrical Optics M Phase I Physical Optics M Advanced Visual Optics M Advanced Visual Functions M Practical Training in OPD M Total 18 Instructional Contents of Theory and Practical Learning YEAR III Phase Curriculum Modules Weeks Phase II Primary Health Care & Primary Eye Care M Overview of Blindness and National Program for Prevention & Control of Blindness in Pakistan M Advanced Refraction & Retinoscopy M Avoidable & Unavoidable Causes of Blindness M Practical Retinoscopy M Basic Dispensing Optics M Ophthalmic Instruments & their Maintenance M Contact Lenses M

27 Low Vision M Ocular Motility & Binocular Single Vision M Orthoptics Techniques M Patient Dealing Ethics M Application of Advanced Visual Functions M Advanced Diseases of Eye & their Management M Total 36 Instructional Contents into Theory and Practical Learning YEAR IV OPTOMETRY Phase Curriculum Modules Weeks Review of Basics of Vision and Optics M Visual Sciences 1,2,3,4 M Binocular Vision & its Clinical Application M Clinical Optometry M Phase II Dispensing Optics M Contact Lenses M Applied Statistics, Research Methodology & Project M OPD Training in Optometry M Total 36 Instructional Contents into Theory and Practical Learning YEAR IV ORTHOPTICS Phase Curriculum Modules Theory Phase II Review of Basics of Vision and Optics M Visual Sciences 1,2,3,4 M Binocular Vision & its Clinical Application M Clinical Orthoptics M

28 Dispensing Optics M Applied Statistics, Research Methodology & Project M OPD Training in Orthoptics M Total 36 Instructional Contents into Theory and Practical Learning YEAR IV INVESTIGATIVE OPHTHALMIC TECHNOLOGY Phase Curriculum Modules Weeks Introduction to investigative Ophthalmic Technology M Review of Biomedical Engineering M Specialized Diagnostic Procedures M Phase II Ophthalmic Microbiology M Eye Banking M Applied Statistics, Research Methodology & Project M Practical Training M Total 36 EVALUATION Formative Evaluation (Internal Evaluation) MODULE ASSESSMENTS At the end of the Module each Module is evaluated by the Program Faculty Committee and the Marks are converted into Grade Points. At the end of the semester the Average Grade Point of all modules is calculated and at the end of the first phase, Cumulative Grade Point Average of all four semesters is calculated. During Phase-II, the Grade point Average of all modules is calculated at the end of year-3 and year-4, and 2 nd Cumulative Grade Point Average is calculated at the end of Phase-II. LOG BOOK ASSESSMENT 28

29 Log book of whole program is divided into each year and will be assessed and signed by the module in charge teacher at the end of each module. SUMMATIVE EVALUATION (University Evaluation) MID COMPREHENSIVE EXAMINATION The students, who qualify the four semesters, are eligible to appear in Mid Comprehensive Examination at the end of fourth semester, covering all modules of the programs taught during the semesters. END COMPREHENSIVE EXAMINATION The students who qualify the Mid Comprehensive Examination, and successfully pass the modules of year-3 and year-4 are eligible to appear for End Comprehensive Examination. ENTRY Scheme of the Program Phase I Year I Semester I Semester II (2-Years) Year II Semester III Semester IV Mid Comprehensive Examination Phase II (2-Years) Year III Modularized but non Semesterized Teaching Year is spread over 46 weeks Modularized but non Semesterized Year IV Research Project/Dissertation Teaching Year is spread over 46 weeks End Comprehensive Examination EXIT EXAMINATION PATTERN OF B.SC (HONS) VISION SCIENCES i) Optometry ii) Orthoptics iii) Investigative Ophthalmic Technology Mid Comprehensive Examination (At the End of 2nd Year) Sr. No. TITLE OF PAPERS PAPER 01 Islamic Studies + Pakistan Studies Paper I 02 Basic Ophthalmology Paper II 29

30 03 Applied Clinical Ophthalmology Paper III 04 TOCS (Task Oriented Clinical Skill Assessment) Practical & VIVA I 05 Ocular Pathology & Pharmacology Practical & VIVA II 06 Basic & Geometric Optics Practical & VIVA III End Comprehensive Examination There will be three written papers and three practical sessions for each specialty. Paper-I will be common for all specialties however Paper-II and Paper-III will be apprehensive to their specialized fields. The curriculum/ syllabus for the Theory, Oral and Practical Papers will be defined by the concerned Program Faculty Committee. The details of examination are as follow: OPTOMETRY Paper I Paper II Paper III Practical I Practical II Practical III Title Details Foundation of Vision Sciences Basic Optometry Clinical Optometry TOACS Viva Voce Skill Assessment PAPER I (Foundations Of Vision Sciences) Binocular Single Vision, Instruments, Community Ophthalmology, Basic Optics, Visual Functions, Patient Dealing Ethics, Advanced Eye Diseases, Research Methodology. PAPER II (Basic Optometry) Refraction, Optometric Instrumentation, Basic Orthoptics PAPER III (Clinical Optometry) Contact Lenses, Dispensing Optics, Low Vision ORTHOPTICS Paper I Paper II Paper III Title Details Foundation Of Vision Sciences Basic Orthoptics Clinical Orthoptics 30

31 Practical I Practical II Practical III TOACS Viva Voce Skill Assessment PAPER I (Foundations Of Vision Sciences) Binocular Single Vision, Instruments, Community Ophthalmology, Basic Optics, Visual Functions, Patient Dealing Ethics, Advanced Eye Diseases, Research Methodology. PAPER II (Basic Orthoptics) Introduction to Orthoptics, Foundation of Orthoptics, Medical Technology, Low Vision PAPER III (Clinical Orthoptics) Afferent System, Efferent System, Disorders and their Treatment INVESTIGATIVE OPHTHALMIC TECHNOLOGY Paper I Paper II Paper III Practical I Practical II Practical III Title Details Foundation Of Vision Sciences Retinal Investigations Specialized Diagnostic Procedures TOACS Viva Voce Skill Assessment PAPER I (Foundations Of Vision Sciences) Binocular Single Vision, Instruments, Community Ophthalmology, Basic Optics, Visual Functions, Patient Dealing Ethics, Advanced Eye Diseases, Research Methodology. PAPER II (Retinal Investigations) Ultrasonography, Optical Coherence Tomography, Heidelberg Retinal Tomography, Fundus Fluorescein Angiography, Advanced Retinal and Choroidal Diseases. PAPER III (Specialized Diagnostic Procedures) Visual Fields, Biometry, Pachymetery, Corneal Banking, Electro-Retinogram, Visual Evoked Potential c) M Phil LEVEL PROGRAM i. MASTERS IN COMMUNITY EYE HEALTH (MCEH) TITLE OF THE COURSE: Masters in Community Eye Health (MCEH) 31

32 DURATION: Two academic years - 1 st year Two semesters - 2 nd year Clinical / field attachments & research / Dissertation. Seats Distribution Masters in Eye Care Health Open Merit from Punjab 07 Other provinces 03 Northern Areas 01 AJK 01 Foreign students 04 Total 16 Note: If no student qualifies for reserved quota seats, then the seats will be given to open merit. ELIGIBILITY: (In order of preference) a) MBBS or equivalent from a recognized institution with at least one year experience in Ophthalmology b) MBBS or equivalent from a recognized university with at least six months experience in Ophthalmology and six months experience in General Medicine c) MBBS or equivalent from a recognized university with at least six months experience each in General Medicine and General Surgery d) MBBS or equivalent with MPH (one year duration). These candidates will be given exemption from first year but will have to attend the Community Eye Health Module OBJECTIVE OF MCEH PROGRAM To create a cadre of Ophthalmologists equipped & skilled in the following fields: Health Care Management: understanding the concept of planning, situation analysis, strategy development, organizing, implementing and evaluating activities related to diseases of eye in community. Preventive And Eye Care Promoting Activities: to be able to develop activities related to health education, preventive ophthalmology and act to improve the status of ophthalmic health of all ages of community. Epidemiology: learning the concepts of principles of distribution and determinants of diseases in general and in ophthalmic medicine in particular. Ophthalmic Medicine Skills: Updating knowledge, skills and practice of primary and secondary level ophthalmic care. 32

33 Research: Understand the need, process, literature search, conduct and publications in the field of preventive ophthalmology. Training Others: Identify the training needs, curriculum development and conduct of courses for cadres supporting preventive ophthalmology. At the end of the course the doctors will be expected to; a) Play a leadership role in the field of community ophthalmology. b) Design and perform programs aimed at prevention, promotion and care of ophthalmic diseases in the community c) Train support staff, develop teams aimed at conduct of research, projects, static and mobile services for ophthalmic condition of high risk groups of community QUALIFICATION LEVEL Masters in Community Eye Health (MCEH) will be considered as equivalent to level 7 qualifications associated with the second cycle of qualifications in higher education in the framework adopted by the King Edward Medical University in line with similar framework developed by European Commission of Higher Education EDUCATIONAL LEVEL a) Masters in Community Eye Health (MCEH) will be considered as equivalent to level M (Masters Level) qualifications in the framework described at paragraph (9) above & adopted by the King Edward Medical University. b) Much of the study undertaken at this level will be at the forefront of an academic or professional discipline & students shall show originality in the application of knowledge understanding how boundaries of knowledge are advanced through research. c) Students will be able to deal with complex issues both systematically and creatively, and they will show originality in tackling and solving problems. CAREER PROSPECTS The cadre will provide essential staff for primary, secondary & tertiary care units as community eye care specialists. They will have the opportunity to proceed to higher academic qualifications like FCPS, Ph.D. etc Program Breakup Phase I Year 1 Semester I Semester II 33

34 Comprehensive Examination Phase II Year 2 Thesis/ Field Work/ Hospital Attachments Examination Regulations for (MCEH) En try FIRST YEAR (COMPREHENSIVE WRITTEN EXAMINATION THEORY) There will be written examination by King Edward Medical University Lahore, after a student has passed in Semester I & II, in the following format: S/No. Paper Subject Maximum Marks 1. Paper I Public Health Policy & Management Paper II Public Health Practice Paper III Epidemiology & Biostatistics Paper IV Community Ophthalmology 100 FINAL AWARD Log Book 10% Internal Assessment (Semester Evaluation) 40% Comprehensive Examination 50 SECOND YEAR PRACTICUM REPORT: PRACTICAL MANAGEMENT TRAINING ATTACHMENT In order to provide the trainees an opportunity to get an insight into the working of district health system and hospitals a three month practical training attachment will be organized with prearrangements with the identified components of health system. Main emphasis will be on National Program for eye care, partner organizations e.g. WHO, Planning & Development departments, INGOs & NNGOs etc. It will also cover the district health system and hospital system. Before the attachments there will be brief sessions on National Program for Prevention of Blindness District Health Systems & District Eye care systems District Health Government - new initiatives. Guidelines for District Health Attachments 34

35 Role of Hospital in a community Hospital Planning and Organization Clinical, nursing and special services Autonomy and new initiatives. Planning of District Eye Unit Guidelines for Hospital Attachments. At the end of practical attachment, students will present a report (having 100 marks), covering either one or all areas, as assigned by the course coordinator/ Course In charge. This will be an integral part of the log book during the second year. PROJECT WORK AND DISSERTATION ASSESSMENT (200 MARKS) In order to develop the skills of conducting a study based on scientific principles, students will be asked to identify a topic of Community Eye Health interest and conduct a small-scale study with some original data under the guidance of a supervisor from faculty. The topics of the dissertation will be submitted to the Board of Studies in Medicine, King Edward Medical University, for approval. On completion of the study, it will be presented in the form of a dissertation, which will be evaluated by a set of two examiners as given above. Thesis shall be a compulsory requirement for MCEH Degree. GENERAL VIVA VOCE EXAMINATION (200 MARKS): Covering all subjects + Dissertation FINAL OBTAINED MARKS WILL BE TRANSLATED INTO GRADES AND GRADE POINT d) SUB SPECIALTY DEVELOPMENT PROGRAMS i) FELLOWSHIP IN PEDIATRIC OPHTHALMOLOGY INTRODUCTION The aim of paediatric ophthalmology fellowship program is to provide a comprehensive, structured training in this discipline at the end of which trainee will be able to handle cases of Pediatric ophthalmology and strabismus with confidence and competence. Like other disciplines of medicine, paediatric ophthalmologist need to work in close relation with other medical and non medical professionals like pediatricians, oncologist, public health workers and teachers etc. Children being national asset and saving, restoring their vision will go a long way to make them useful and productive member of society. RECRUITMENT CRITERIA 1. The candidate should have a major diploma/degree in ophthalmology, like MS, FCPS, and FRCS. 35

36 2. At least two years of experience after above said post graduation. 3. The candidate should be motivated and ready to take the responsibility 4. Publications and research will be extra credit DURATION OF PROGRAM The duration of program will be two years, covering paediatric ophthalmology and strabismus. 1. It is aimed to develop the skills of the trainee in diagnosing various Paediatric Ophthalmology and vision development related problems in OPD. 2. Trainees will be involved in decision making and prioritizing the patients needing urgent surgical intervention in elective cases. 3. The fellows will be involved in the o admissions of pre-operative patients o History taking o Consent taking o Diagnosing the clinical pathology o Plan to proceed 4. In operation theatre the fellow with no previous experience in paediatric ophthalmology will assist cases with the supervising consultant for at least first six months. Second six months they will start operating with the supervising consultant as a first assistant CLINICAL SKILLS TO BE ATTAINED 1. Approaching a child for examination 2. History taking 3. Vision assessment in preverbal children 4. Vision assessment in pre-literate children 5. Detection of strabismus and Amblyopia 6. Sensory tests for strabismus 7. Motor tests for strabismus 8. Vertical strabismus evaluation 9. Paralytic strabismus evaluation 10. Cycloplegic refraction technique 11. Assessment of low vision 12. Lachrymal function tests 36

37 13. Evaluation for glaucoma 14. Evaluation of lid and Ptosis 15. Biometry & Ocular Ultrasound 16. Radio-imaging 17. Evaluation of Proptosis 18. Electrophysiology 19. ROP screening COMMUNITY OPHTHALMOLOGY AND RESEARCH 1. Epidemiology of childhood blindness 2. Applied statistics and research methodology 3. Community Ophthalmology 4. Project 5. Survey techniques for childhood blindness 6. Planning a childhood blindness control project 7. Setting up of a pediatric ophthalmology unit PEDIATRIC SURGICAL SKILLS EXAMINATION UNDER SEDATION Application of YAG Laser (Minimum number of procedures 30) Application of Argon Laser (Minimum number of procedures 20) Application of Cryo (Minimum number of procedures 20) AUDIT & LOG BOOK Each fellow will maintain his/her log book regarding the surgical as well as clinical procedures performed personally or under supervision. Each fellow will have to do an audit of all the surgical cases done by him personally and will be presented before the appraisal committee, once every six months. 37

38 RESEARCH & PAPER WRITING Every Fellow will be given one research project. The research project will have to be completed in two years time and final assessment will be made at the time of exit from the program. ASSESSMENT / APPRAISAL Every fellow will have to appear before an appraisal committee once every six months. The appraisal committee will comprise of the supervising Consultant/ consultants (internal) and member/members of paediatric ophthalmology faculty (external). During 6 monthly appraisal meeting each fellow will have to present up to date log book / Surgical Audit. A comprehensive assessment will be done on the basis of the performance of the trainee in the past six monthly periods, and areas of weakness will be pointed out and suggestions regarding the improvement will be put forward. At the end of each assessment goals or objectives will be set for the trainee to be met in the coming six month and those goals will be appraised in the next assessment meeting. At the end of two year program an exit assessment will be done which will include the last four six monthly assessments as well as the final assessment and trainee will defend his research project. Upon the satisfaction of the committee regarding the progression and attainment of the minimum required level of competence for a paediatric ophthalmologist, the exit from the program will be granted to the fellow and KEMU will be notified regarding the successful completion of the fellowship for that particular trainee. ii) FELLOWSHIP IN VITREO RETINA The aims of this VR fellowship are to provide comprehensive, supervised, structured and accredited training of postgraduate Ophthalmic Surgeons. The training will be provided in the specialty of both Surgical and medical Retina. It is aimed that the trainees at the end of the fellowship program will be able to manage patients with posterior segment pathology with complete confidence and ability. RECRUITMENT CRITERION 1. The applicant should be holding basic postgraduate diploma i.e. MS, FCPS, FRCS. 2. The applicant should have the aspiration to become fully trained VR surgeon. 3. Publications and research will be extra credit. AIMS 38

39 1. It is aimed to develop the skills of the trainee in diagnosing various VR pathologies in OPD. 2. Trainees will be involved in decision making and prioritizing the patients needing urgent surgical intervention in selective cases e.g. RD with macula on or only eye situation or long standing detachment / long standing vitreous hemorrhage, Macular hole, etc. STRUCTURE & DURATION It is proposed to be a two year fellowship program. Fellowship division; 1. Surgical Retina 2. Medical retina THE FELLOWSHIP TRAINEES WILL BE INVOLVED IN THE Admissions of pre-operative VR patients History taking Diagnosing the clinical pathology Consent taking & Plan to proceed SURGICAL RETINA (1ST YEAR) In theatre the VR fellow with no previous VR experience will assist VR cases to the supervising consultant for at least first six months. In the second half of the six months they will start operating with the supervising consultant as a first assistant. Number of cases to be assisted in first six months at least 50, before embarking on to start operating under supervision. LASER PROCEDURES TO LEARN PRP, Focal, Macular Grid with Argon Direct / Indirect Laser Retionopexy Indirect PRP Minimum Number of VR Surgical Procedures to be done by a fellow 1 st year nd year 150 Minimum Number of Laser Procedures to be done by a fellow at the end of Fellowship Direct PRPs, 50 Indirect PRPs, 50 39

40 Direct Macular/ Focal Laser 50 Direct / Indirect Laser Retinopexy 25 AUDIT & LOG BOOK Each fellow will maintain his/her log book regarding the surgical as well as laser procedures performed personally or under supervision. Each fellow will have to do an audit of all the surgical cases done by him personally and will be presented before the appraisal committee, once every six months. RESEARCH & PAPER WRITING Every Fellow will be encouraged to take up at least one project every six months. It will be aimed that at least two clinical papers will be done by each fellow for the submission in international peer journal during the fellowship program. ASSESSMENT / APPRAISAL Every fellow will have to appear before an appraisal committee once every six months. The appraisal committee will comprise of the supervising Consultant/ consultants (internal) and member/members of VR faculty (external). During 6 monthly appraisal meeting each fellow will have to present up to date log book / Surgical Audit. A comprehensive assessment will be done on the basis of the performance of the trainee in the past six months, and areas of weakness will be pointed out and suggestions regarding the improvement will be put forward. At the end of each assessment goals or objectives will be set for the trainee to be met in the coming six month and those goals will be appraised in the next assessment meeting. At the end of two year program an exit assessment will be done which will include the last four six monthly assessments as well as the final assessment. Upon the satisfaction of the committee regarding the progression and attainment of the minimum required level of competence for a VR surgeon, the exit from the program will be granted to the fellow and KEMU will be notified regarding the successful completion of the fellowship for that particular trainee. e) M. Phil LEADING TO PhD PROGRAM IN VISION SCIENCES 40